A5072183417- Global Maternal and Child Health
- Child Nutrition and Water Access
- Infant Nutrition and Health
- Healthcare Systems and Practices
- Birth, Development, and Health
- Healthcare Systems and Reforms
- Breastfeeding Practices and Influences
- Gestational Diabetes Research and Management
- Global Health Care Issues
- Child Nutrition and Feeding Issues
- Vaccine Coverage and Hesitancy
- Poverty, Education, and Child Welfare
- Food Security and Health in Diverse Populations
- Global Health and Epidemiology
- Maternal and Perinatal Health Interventions
- Obesity, Physical Activity, Diet
- Global Health and Surgery
- Gut microbiota and health
- Rabies epidemiology and control
- Traumatic Ocular and Foreign Body Injuries
- Venomous Animal Envenomation and Studies
- Insurance, Mortality, Demography, Risk Management
- Immune responses and vaccinations
- Migration, Identity, and Health
- Health, Environment, Cognitive Aging
AFRICSanté
2013-2025
Centre Muraz
2008-2015
Université du Québec à Montréal
2012
Université de Montréal
2012
Université Laval
2012
Background Providing balanced energy–protein (BEP) supplements is a promising intervention to improve birth outcomes in low- and middle-income countries (LMICs); however, evidence limited. We aimed assess the efficacy of fortified BEP supplementation during pregnancy outcomes, as compared iron–folic acid (IFA) tablets, standard care. Methods findings conducted an individually randomized controlled trial (MIcronutriments pour la SAnté de Mère et l’Enfant [MISAME]-III) 6 health center...
Background Optimal nutrition is crucial during the critical period of first 1,000 days from conception to 2 years after birth. Prenatal and postnatal supplementation mothers with multimicronutrient-fortified balanced energy–protein (BEP) supplements a potential nutritional intervention. However, evidence on long-term effects BEP child growth inconsistent. We evaluated efficacy daily fortified pregnancy lactation infant in rural Burkina Faso. Methods findings A × factorial individually...
Background: Accurate determination of gestational age by way ultrasound is challenging in resource-limited settings like Burkina Faso, leading to the use alternative methods, though their accuracy and agreement remain poorly established. This practice leads inadequate risk assessment during pregnancy failure identify preterm birth, potentially contributing high neonatal mortality rates. The purpose this study was determine among methods for estimation Alliance Maternal Newborn Health...
Abstract Balanced energy-protein (BEP) supplementation during pregnancy and lactation can improve birth outcomes infant growth, with the gut microbiome as a potential mediator. The MISAME-III randomized controlled trial (ClinicalTrial.gov: NCT03533712) assessed effect of BEP supplementation, provided first six months lactation, on small-for-gestational age prevalence length-for-age Z-scores at in rural Burkina Faso. Nested within MISAME-III, this sub-study examines impact maternal...
BackgroundMedia campaigns can potentially reach a large audience at relatively low cost but, to our knowledge, no randomised controlled trials have assessed their effect on health outcome in low-income country. We aimed assess the of radio campaign addressing family behaviours all-cause post-neonatal under-5 child mortality rural Burkina Faso.MethodsIn this repeated cross-sectional, cluster trial, clusters (distinct geographical areas Faso with least 40 000 inhabitants) were selected by...
Fortified balanced energy-protein (BEP) supplementation is a promising intervention for improving maternal health, birth outcomes and infant growth in low- middle-income countries. This nested biospecimen sub-study aimed to evaluate the physiological effect of multi-micronutrient-fortified BEP on pregnant lactating women their infants. Pregnant (15-40 years) received either fortified iron-folic acid (IFA) (intervention) or IFA only (control) throughout pregnancy. The same were concurrently...
To assess our experiences of using hand-held computers (personal digital assistants, PDAs) for direct data capture in a large community-based geo-referenced survey rural Burkina Faso, highlighting benefits and lessons learnt from their use.A population-based over 500 000 people was undertaken PDAs with in-built GPS receivers the resulting database analysed terms successful completion, error rates interview durations.Surveys were successfully completed 84 861 households (98.3%) by 127...
<h3>Background:</h3> In Burkina Faso, a comprehensive 35-month radio campaign addressed key, multiple family behaviors for improving under-5 child survival and was evaluated using repeated cross-sectional, cluster randomized design. The primary outcome of the trial postneonatal mortality. This paper reports on behavior change achieved at midline. <h3>Method:</h3> Fourteen community stations in 14 geographic areas were selected based their high listenership. Seven randomly allocated to...
Introduction Adequate nutrition during pregnancy is crucial to both mother and child. Maternal malnutrition can be the cause of stillbirth or lead poor birth outcomes such as preterm delivery small-for-gestational-age newborns. There a probable positive effect providing pregnant women balanced energy-protein (BEP) food supplement, but more evidence needed. The MIcronutriments pour la SAnté de Mère et l’Enfant (MISAME) III project aims improve infant growth by testing BEP supplement lactation...
Panel data indicate that nonpregnant women's dietary diversity fluctuates across climatic seasons in low- and middle-income countries. The natural day-to-day variability food group consumption during gestation is unknown. A longitudinal study was conducted among pregnant women enrolled the Micronutriments pour la Santé de Mère et l'Enfant 3 randomized controlled efficacy trial [i.e., daily fortified balanced energy-protein supplement an iron-folic acid (IFA) tablet compared with IFA only] to...
Summary Objectives To describe levels and causes of pregnancy‐related mortality selected outcomes after pregnancy (OAP) in two districts Burkina Faso. Methods A household census was conducted the study districts, recording deaths to women aged 12–49 years from 2001 2006. Questions on last 5 for resident reproductive age were included, an additional method – direct sisterhood added part area. Adult female followed‐up with verbal autopsies (VA) members. probabilistic model interpreting VA data...
User fees were generalized in Burkina Faso the 1990s. At time of their implementation, it was envisioned that measures would be instituted to exempt poor from paying these fees. However, practice, identification indigents is ineffective, and so they do not have access care. Thus, a community-based process for selecting user exemption tested district. In each 124 villages catchment areas ten health centres, village committees proposed lists then validated by centres' management committees....
Child health promotion through mass media has not been rigorously evaluated for cost-effectiveness in low-income and middle-income countries. We assessed the of a radio campaign on health-seeking behaviours child survival within trial Burkina Faso at national scale.We collected provider cost data prospectively alongside 35-month cluster randomised rural 2012-2015. Out-of-pocket costs care-seeking were estimated household survey. modelled intervention effects based increased intervention's...
Summary Objective The aim of this paper is to assess what extent a Skilled Care Initiative (SCI) was associated with pregnancy‐related mortality in Ouargaye district, Burkina Faso. Methods We used quasi‐experimental design compare within the intervention district (health facility areas covered by SCI vs. not covered) and between (Ouargaye) comparison (Diapaga). Population‐based data were examine differences levels, their determinants how they related uptake care, as well examining contexts...
Verbal autopsy (VA) is an established tool for assessing cause-specific mortality patterns in communities where deaths are not routinely medically certified, and important source of data on among the poorer half world's population. However, repeatability VA process has never been investigated, even though it factor its overall validity. This study analyses terms (from interview to fractions (CSMF)), as well specifically material individual causes death, using from Burkina Faso Indonesia.Two...
Background A cluster randomised trial (CRT) in Burkina Faso was the first to demonstrate that a radio campaign increased health-seeking behaviours, specifically antenatal care attendance, health facility deliveries and primary consultations for children under 5 years. Methods Under-five consultation data by diagnosis obtained from facilities clusters, January 2011 December 2014. Interrupted time-series analyses were conducted assess intervention effect time period on under-five separate...
In many low- and middle-income countries, the prevalence of energy nutrient deficiencies is high among pregnant women. Balanced energy-protein (BEP) supplements are a promising strategy to cover nutritional requirements during pregnancy improve birth outcomes. However, displacement nutrient-dense foods by BEP might attenuate efficacy supplementation. This cross-sectional study participants in randomized controlled trial evaluated difference macro- micronutrient intakes, food groups, adequacy...
Abstract Objective Although distance has been identified as an important barrier to care, evidence for effect of care on child mortality is inconsistent. We investigated the association with self‐reported seeking behaviours, neonatal and post‐neonatal under‐five in rural areas Burkina Faso. Methods performed a cross‐sectional survey 14 from November 2014 March 2015. About 100 000 women were interviewed their pregnancy history about 5000 mothers behaviours. Euclidean distances closest...
Abstract Poor maternal nutrition contributes to poor birth outcomes, including low weight and small for gestational age births. Fortified balanced energy protein (BEP) supplements may be beneficial, although evidence is limited. This mixed method study, conducted among pregnant women in Burkina Faso, part of a larger clinical trial that seeks understand the impact fortified BEP on pregnancy outcomes child growth. The formative research reported here, single‐meal rapid assessment 12 product...
Abstract Balanced energy protein (BEP) supplementation for pregnant and lactating women in low‐ middle‐income countries is a promising strategy to improve birth outcomes child growth. The objective of this study was assess compare the acceptability new formulations two fortified BEP supplements, lipid‐based peanut paste vanilla biscuit, among 80 rural Burkina Faso, prior an efficacy trial. A 10‐week individually randomized cross‐over designed, which received weekly supply each supplement 4...
Anemia and suboptimal gestational weight gain (GWG) are associated with adverse maternal birth outcomes. Limited research indicates that balanced energy-protein (BEP) supplements reduce the incidence of inadequate GWG.We assessed efficacy a micronutrient-fortified BEP supplement on secondary outcomes anemia, GWG, GWG rate, in relation to Institute Medicine (IOM)'s recommendations, as compared an iron-folic acid (IFA) tablet.We conducted randomized controlled trial Burkina Faso, among...
Systems to exempt the indigent from user fees have been put in place prevent worst-off being excluded health care services for lack of funds. Yet implementation these mechanisms is as rare operational research on this topic. This article analyzes an action project aimed at finding appropriate solution make accessible a rural district Burkina Faso.This was initiated 2007 study feasibility and effectiveness community-based, participative financially sustainable process exempting fees. A...